Utilidad del índice de comorbilidad de Charlson en personas ancianas. Concordancia con otros índices de comorbilidad

  1. Yolanda González Silva 1
  2. Laura Abad Manteca 2
  3. María José Fernández-Gómez 3
  4. Javier Martín-Vallejo 3
  5. Henar de la Red Gallego 4
  6. José Luis Pérez-Castrillón 2
  1. 1 Gerencia de Atención Primaria de Salamanca. Salamanca (España)
  2. 2 Servicio de Medicina Interna. Hospital Universitario Río Hortega. Valladolid (España); Departamento de Medicina, Dermatología, Toxicología. Universidad de Valladolid (España)
  3. 3 Departamento de Estadística. Universidad de Salamanca (España); Unidad de Bioestadística. IBSAL. Salamanca (España)
  4. 4 Servicio de Psiquiatría, Hospital Universitario Río Hortega,Valladolid (España)
Erakutsi afiliazioak +
Aldizkaria:
Revista Clínica de Medicina de Familia

ISSN: 2386-8201

Argitalpen urtea: 2021

Alea: 14

Zenbakia: 2

Orrialdeak: 64-70

Mota: Artikulua

DOI: 10.55783/RCMF.140205 DIALNET GOOGLE SCHOLAR lock_openSarbide irekia editor

Beste argitalpen batzuk: Revista Clínica de Medicina de Familia

Laburpena

Background: The main aim of our study was to evaluate the current usefulness of the CCI in predicting mortality in older people and the concordance between various comorbidity indices. Design: An observational, concurrent cohort study was performed. Location: Internal Medicine Service of a tertiary hospital, outpatients in a health centre and residents in four nursing homes. Participants: 375 individuals ≥65 years and with expected survival ≥6 months, without cognitive impairment. Main measurements: Three indices, the CCI, the Geriatric Index of comorbidity (GIC), and the Kaplan-Feinstein index (KFI), were administered in all participants. At 12 months, mortality was evaluated. The data were analyzed using the SPSS 23.0 statistical programme. Results: Average age 81.4 years. The CCI revealed low-medium comorbidity in the outpatient group aged 65-75: 43 (75.4%), moderate-high morbidity and more common in hospitalized patients: 19 (61.3%) and nursing homes: 5 (62.5%). At one year follow-up 59 (16.1%) individuals died: CCI: 10 (6.4%) low-medium and 49 (23.3%) moderate-high comorbidity, OR 3.63 (95% CI 1.76 -7.51); KF: 27 (13.3%) low-medium and 32 (19.5%) moderate-high comorbidity, OR 1.38 (95% CI 0.78-2.44) and GIC: 45 (14.1%) low-medium and 14 (29.2%) moderate-high comorbidity, OR 2.47 (95% CI 1.21-5.06). The concordance between CCI-KF: 65-75 years K=0.62, 76-85 years: K=0.396 and ≥86 years: K=0.255. Concordance between CCI-GIC was: 65-75 years K=0.202, 76-85 years: K=0.069 and ≥86 years: K=0.118. Conclusion: CCI was found to be the best predictor of mortality after one year of follow up. There was considerable concordance between CCI and KF in the 65-75 years and remaining age groups. Correlation with GIC was low.

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